Abstract
The Mental Health Parity and Addiction Equity Act (MHPAEA), a victory for substance use disorder (SUD) patients and providers, was enacted as part of the bank bailout law in 2008 (see https://onlinelibrary.wiley.com/doi/epdf/10.1002/adaw.20157). Going full steam ahead, the MHPAEA quickly righted some of the wrongs, by making certain limitations the same for behavioral (SUD and mental health) conditions as they were for medical/surgical conditions. However, a major disappointment took place when the Obama administration decided that enforcement would be left up to the states, not the federal government (see https://onlinelibrary.wiley.com/doi/epdf/10.1002/adaw.20301).
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